@layout("/common/_container.html",{js:["/assets/Shiproductfunction/shiHeadFunction/shiHeadFunction_edit.js"]}){

<div class="layui-body-header">
    <span class="layui-body-header-title">修改</span>
</div>

<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">
            <form id="shiHeadFunctionForm" lay-filter="shiHeadFunctionForm" class="layui-form model-form" style="max-width: 700px;margin: 40px auto;">
                <input name="id" type="hidden"/>
                <div class="layui-form-item">
                    <label class="layui-form-label">头靠调节,0没有，1有，2选配<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="headAdjustment" name="headAdjustment" placeholder="请输入头靠调节,0没有，1有，2选配" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">颈部热疗，0没有，1有，2选配<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="neckHT" name="neckHT" placeholder="请输入颈部热疗，0没有，1有，2选配" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">颈部凸点按摩，0没有，1有，2选配<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="neckBumpMassage" name="neckBumpMassage" placeholder="请输入颈部凸点按摩，0没有，1有，2选配" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">颈部气压按摩，0没有，1有，2选配<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="heckPressureMassage" name="heckPressureMassage" placeholder="请输入颈部气压按摩，0没有，1有，2选配" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">中药香薰，0没有，1有，2选配<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="medicinalAromatherapy" name="medicinalAromatherapy" placeholder="请输入中药香薰，0没有，1有，2选配" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-input-block">
                        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                        <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>

@}